文章摘要
郭浩阳,陈浩,汪伟,丁书姝,袁慧.2004-2019年中国肺癌死亡分布及趋势[J].济宁医学院学报,2022,45(3):167-170,175
2004-2019年中国肺癌死亡分布及趋势
Distribution and trend of lung cancer deaths in China from 2004 to 2019
投稿时间:2022-05-23  
DOI:10.3969/j.issn.1000-9760.2022.03.003
中文关键词: 肺癌;死亡率;时间趋势;Joinpoint回归;危险因素
英文关键词: Lung cancer;Mortality;Time trend;Joinpoint regression;Risk factor
基金项目:2020年度安徽省大学生创新创业计划(S202010368003)
作者单位E-mail
郭浩阳 皖南医学院公共卫生学院, 芜湖 241000  
陈浩 皖南医学院公共卫生学院, 芜湖 241000  
汪伟 皖南医学院公共卫生学院, 芜湖 241000  
丁书姝 皖南医学院公共卫生学院, 芜湖 241000  
袁慧 皖南医学院公共卫生学院, 芜湖 241000 yuanhui0553@126.com 
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中文摘要:
      目的 对2004-2019年中国肺癌死亡资料整理并分析其变化趋势,为肺癌防治策略与措施的制定提供参考。方法 整理汇总《中国卫生统计年鉴》中2004年至2019年中国城乡居民肺癌死亡率数据,利用Joinpoint回归模型对中国城乡居民肺癌标化死亡率的时间趋势进行分析;计算年度变化百分比(APC)及平均年度变化百分比(AAPC)。结果 2004-2019年中国居民肺癌标化死亡率城市居民高于农村居民,农村居民标化死亡率逐年上升,城乡差距逐渐缩小。Joinpoint回归模型显示,城市男性肺癌标化死亡率在2004-2019年呈较高水平波动,无明显变化趋势(P>0.05);农村男性肺癌标化死亡率在2004-2019年平均每年上升2.0%(P=0.029),2008年为农村男性肺癌标化死亡率变化趋势的连接点;城市女性在2004-2009年逐年上升4.86% (P=0.008),2009-2019年逐年下降2.36%(P=0.001),2009年为城市女性肺癌标化死亡率变化趋势的连接点;农村女性肺癌标化死亡率在2004-2019年平均每年上升1.63%(P=0.003)。结论 2004-2019年,农村居民肺癌标化死亡率逐年上升,应重点关注农村群体,采取更有针对性、综合性的防治措施。
英文摘要:
      Objective To collate and analyze the trends of the deathsof lung cancerin China from 2004 to 2019,and to provide reference for the lung cancer prevention and treatment strategies.Methods The data of lung cancer mortality of urban and rural residents from 2004 to 2019 in China's Health Statistical yearbooks were summarized,and the time trend of standardized lung cancer mortality of urban and rural residents in China was analyzed using Joinpoint regression model.Annual percent change (APC) and average annual percent change (AAPC) were calculated.Results From 2004 to 2019,the standardized death rate of lung cancer among Chinese residents showed that the mortality of urban residents was higher than that of rural residents.The standardized death rate of rural residents increased year by year,and the gap between urban and rural areas gradually narrowed.Joinpoint regression model showed that the standardized mortality rate of urban male fluctuated at a high level from 2004 to 2019,with no significant change trend (P>0.05).The standardized mortality rate of rural male increased by 2.0% per year on average from 2004 to 2019 (P=0.029),and 2008 was the join point for the trend of standardized mortality rate of lung canceramong rural male.The standardized mortality rate of lung canceramong urban female increased by 4.86% year by year from 2004 to 2009 (P=0.008),and decreased by 2.36% year by year from 2009 to 2019 (P=0.001),and 2009 was the join point of the trend of standardized mortality rate of lung cancer among urban female.The standardized mortality rate of lung cancer in rural female increased by 1.63% per year on average from 2004 to 2019 (P=0.003).Conclusion From 2004 to 2019,the standardized mortality rate of lung cancer in rural residents increased year by year.More targeted and comprehensive preventionmeasures should be taken to focus on rural population.
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